National Partnership Agreement on Improving Public Hospital Services: Admission to hospital from emergency departments
Identifying and definitional attributes
|Metadata item type:
|Access block indicator
|Admission to hospital from emergency departments
Health, Standard 15/06/2012
For all patients presenting to a public hospital emergency department (including publicly funded privately operated hospitals) who are subsequently admitted to the same hospital, the:
(a) percentage of presentations where the time from presentation to physical departure (i.e. the emergency department stay length) is ≤4 hours (i.e. ≤240 minutes); and(b) emergency department stay length at the 90th percentile.
Collection and usage attributes
Data are provided as per the Non-admitted patient emergency department care (NAPEDC) NMDS 2012-13.
The scope for calculation of access block measures is all hospitals reporting to the NAPEDC NMDS (Peer Groups A, B and other) as at August 2011, when the National Health Reform Agreement - National Partnership Agreement on Improving Public Hospital Services (NPA IPHS) was signed. For the duration of the NPA IPHS, hospitals that have not previously reported to the NAPEDC NMDS can come into scope, subject to agreement between the jurisdiction and the Commonwealth.
Calculation includes presentations with any Type of visit to emergency department.
Calculation includes presentations with an Episode end status of:
Emergency department stay (ED stay) length is calculated by subtracting the Date patient presents and Time patient presents from the Emergency department physical departure date and Emergency department physical departure time as per the business rules included in the NAPEDC NMDS 2012-13, as follows:
Presentation date and time are the date and time of the first recorded contact with an emergency department staff member. The first recorded contact can be the commencement of the clerical registration or triage process, whichever happens first.
Physical departure date and time is:
(a) 100 × (Numerator ÷ Denominator)(b) ED stay length (in hours and minutes) at the 90th percentile for ED presentations with an Episode end status of 1, i.e. Admitted to hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward)
(a) Number of ED presentations with an Episode end status of 1, where ED stay length is ≤4 hours (i.e. ≤240 minutes)
(b) Not applicable
|Numerator data elements:
(a) Number of ED presentations with an Episode end status of 1(b) Not applicable
|Denominator data elements:
|Disaggregation is by state/territory
|Disaggregation data elements:
|This indicator is not intended to suggest that all patients who are admitted to a hospital from an ED should leave the ED within four hours. As per the Expert Panel Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services, there may be patients "...for whom it is clinically appropriate to remain in an emergency department longer than four hours" (p30).
|Unit of measure:
Data source attributes
National Partnership Agreement on Improving Public Hospital Services
|Organisation responsible for providing data:
|Australian Institute of Health and Welfare; Department of Health and Ageing
Source and reference attributes
National Health Information Standards and Statistics Committee (NHISSC) - Emergency Data Development Working Group
Standing Council on Federal Financial Relations. National Partnership Agreement on Improving Public Hospital Services. Standing Council on Federal Financial Relations, Canberra. Viewed 10 April 2013,
Expert Panel. Review of Elective Surgery and Emergency Access Targets under the National Partnership Agreement on Improving Public Hospital Services: Report to the Council of Australian Government. Canberra: Commonwealth of Australia. Viewed 10 April 2013,
|Related metadata references:
See also National Partnership Agreement on Improving Public Hospital Services: National Emergency Access Target
Health, Standard 21/11/2013